Individual
LINDA L VANNIX
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4389 SKYWALKER DR, SOMIS, CA 93066-9640
(805) 988-1933
Mailing address
4389 SKYWALKER DR, SOMIS, CA 93066-9640
(805) 988-1933
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G38205
CA
Other
Enumeration date
06/29/2005
Last updated
07/08/2007
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